|
New Patient Office Visit (level 2)
|
$151.45 |
$151.45 |
$151.45 |
$151.45
|
|
New Patient Office Visit (level 3)
|
$224.25 |
$224.25 |
$224.25 |
$205.40
|
|
New Patient Office Visit (level 4)
|
$270.40 |
$270.40 |
$270.40 |
$289.60
|
|
New Patient Office Visit (level 5)
|
$349.70 |
$349.70 |
$349.70 |
$367.20
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$356.09 |
$356.09 |
$356.09 |
$251.32
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$98.43 |
$98.43 |
$98.43 |
$65.30
|
|
Nm imaging bone/joint whole body
|
$1,573.00 |
$1,573.00 |
$1,573.00 |
$1,538.86
|
|
Npm1 gene
|
$512.85 |
$512.85 |
$512.85 |
$493.60
|
|
Nras gene variants exon 2&3
|
$554.45 |
$554.45 |
$554.45 |
$590.26
|
|
Nursing facility discharge management > 30 min 99316
|
$166.40 |
$166.40 |
$166.40 |
$201.60
|
|
Nursing facility discharge management 30 min/less than 99315
|
$119.60 |
$119.60 |
$119.60 |
$136.40
|
|
Observation/inpatient hospital care hi severity 99236
|
$707.85 |
$707.85 |
$707.85 |
$438.60
|
|
Observation/inpatient hospital care low severity 99234
|
$285.35 |
$285.35 |
$285.35 |
$269.40
|
|
Observation/inpatient hospital care mod severity 99235
|
$482.30 |
$482.30 |
$482.30 |
$340.80
|
|
Observation per hour
|
$48.75 |
$48.75 |
$48.75 |
$75.15
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$32.62 |
$32.62 |
$32.62 |
$59.15
|
|
Olanzapine 10 mg intramuscular solution
|
$122.80 |
$122.80 |
$122.80 |
$120.17
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$5,085.47 |
$5,085.47 |
$5,085.47 |
$65.90
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$7.15 |
$7.15 |
$7.15 |
$12.51
|
|
Organic acids total quant ea spec
|
$117.00 |
$117.00 |
$117.00 |
$152.50
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$68.24 |
$68.24 |
$68.24 |
$40.92
|
|
Ortho ewh rgd without jnt cstm w/fit&adj
|
$13.65 |
$13.65 |
$13.65 |
$1,739.46
|
|
Oscillation chest wall mechanical per session
|
$139.10 |
$139.10 |
$139.10 |
$204.89
|
|
Osmolality blood
|
$71.50 |
$71.50 |
$71.50 |
$57.00
|
|
Osmolality urine
|
$65.65 |
$65.65 |
$65.65 |
$57.85
|
|
Ot evaluation high complexity patient/family
|
$598.65 |
$598.65 |
$598.65 |
$265.50
|
|
Ot evaluation low complexity patient/family
|
$541.45 |
$541.45 |
$541.45 |
$222.50
|
|
Ot evaluation moderate complexity patient/family
|
$566.80 |
$566.80 |
$566.80 |
$249.60
|
|
Oth resp proc, indiv
|
$67.60 |
$67.60 |
$67.60 |
$67.60
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$98.80 |
$98.80 |
$98.80 |
$94.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$94.25 |
$94.25 |
$94.25 |
$102.60
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$101.40 |
$101.40 |
$101.40 |
$105.50
|
|
Ot re-evaluation patient/family
|
$426.40 |
$426.40 |
$426.40 |
$146.90
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$87.10 |
$87.10 |
$87.10 |
$96.11
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$26.00 |
$26.00 |
$26.00 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$89.05 |
$89.05 |
$89.05 |
$90.00
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$75.40 |
$75.40 |
$75.40 |
$95.65
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$94.25 |
$94.25 |
$94.25 |
$94.25
|
|
Ot training self care/home management direct contact each 15 minutes
|
$94.25 |
$94.25 |
$94.25 |
$93.60
|
|
Oxytocin 10 unit/ml injection solution
|
$15.09 |
$15.09 |
$15.09 |
$30.78
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$7.44 |
$7.44 |
$7.44 |
$18.49
|
|
Parathormone (pth) intact
|
$196.95 |
$196.95 |
$196.95 |
$204.00
|
|
Pdgfra gene
|
$542.10 |
$542.10 |
$542.10 |
$717.23
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$18,772.62 |
$18,772.62 |
$18,772.62 |
$9,121.58
|
|
Pelvic CT scan (with and without contrast)
|
$2,148.25 |
$2,148.25 |
$2,148.25 |
$1,872.00
|
|
Pelvic CT scan (with contrast)
|
$2,007.20 |
$2,007.20 |
$2,007.20 |
$1,602.75
|
|
Pelvic CT scan (without contrast)
|
$1,797.90 |
$1,797.90 |
$1,797.90 |
$1,290.90
|
|
Pelvic MRI (with and without contrast)
|
$3,159.00 |
$3,159.00 |
$3,159.00 |
$2,603.25
|
|
Pelvic MRI (with contrast)
|
$2,169.70 |
$2,169.70 |
$2,169.70 |
$1,854.06
|
|
Pelvic MRI (without contrast)
|
$1,934.40 |
$1,934.40 |
$1,934.40 |
$1,702.00
|
|
Pelvic Ultrasound (complete)
|
$588.90 |
$588.90 |
$588.90 |
$614.64
|
|
Pelvic Ultrasound (limited)
|
$420.55 |
$420.55 |
$420.55 |
$429.66
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$887.89 |
$887.89 |
$887.89 |
$48.74
|
|
Ph body fluid
|
$50.70 |
$50.70 |
$50.70 |
$35.75
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$56.74 |
$56.74 |
$56.74 |
$84.60
|
|
Phenobarbital therapeutic drug level
|
$85.15 |
$85.15 |
$85.15 |
$97.50
|
|
Phenytoin total therapeutic drug level
|
$100.75 |
$100.75 |
$100.75 |
$100.75
|
|
Phlebotomy therapeutic
|
$144.30 |
$144.30 |
$144.30 |
$240.24
|
|
Phosphorus
|
$40.95 |
$40.95 |
$40.95 |
$42.37
|
|
Phosphorus 24 hour urine
|
$40.30 |
$40.30 |
$40.30 |
$41.51
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$56.13 |
$56.13 |
$56.13 |
$75.04
|
|
Pinworm exam
|
$29.90 |
$29.90 |
$29.90 |
$38.58
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$53.63 |
$53.63 |
$53.63 |
$51.80
|
|
Plasma cryoprecipitate reduced each unit
|
$160.55 |
$160.55 |
$160.55 |
$160.55
|
|
Platelet aggregation each agent teg
|
$118.95 |
$118.95 |
$118.95 |
$145.60
|
|
Platelet automated
|
$57.85 |
$57.85 |
$57.85 |
$33.60
|
|
Platelet pheresis each unit
|
$1,162.85 |
$1,162.85 |
$1,162.85 |
$943.15
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$1,521.00 |
$1,521.00 |
$1,521.00 |
$1,532.70
|
|
Platelets leukocytes reduced each unit
|
$274.95 |
$274.95 |
$274.95 |
$274.95
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$1,201.20 |
$1,201.20 |
$1,201.20 |
$1,146.60
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$1,424.80 |
$1,424.80 |
$1,424.80 |
$1,424.80
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,354.60 |
$1,354.60 |
$1,354.60 |
$1,642.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,322.10 |
$1,322.10 |
$1,322.10 |
$1,530.10
|
|
Platelets pheresis pathogen-reduced each unit
|
$1,046.50 |
$1,046.50 |
$1,046.50 |
$1,046.50
|
|
Plethysmography lung volumes/airway resistance
|
$490.75 |
$490.75 |
$490.75 |
$411.51
|
|
#pnh-flow cytometry interp
|
$137.15 |
$137.15 |
$137.15 |
$154.14
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$161.20 |
$161.20 |
$161.20 |
$146.15
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$4,026.75 |
$4,026.75 |
$4,026.75 |
$4,313.58
|
|
Potassium 24 hour urine
|
$52.00 |
$52.00 |
$52.00 |
$45.00
|
|
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback
|
$42.25 |
$42.25 |
$42.25 |
$60.99
|
|
Potassium serum/plasma/whole blood
|
$37.05 |
$37.05 |
$37.05 |
$40.00
|
|
Pr application of long arm splint
|
$208.65 |
$208.65 |
$208.65 |
$320.00
|
|
Pr application splint static short arm
|
$154.70 |
$154.70 |
$154.70 |
$277.60
|
|
Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes
|
$37.70 |
$37.70 |
$37.70 |
$48.71
|
|
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/<
|
$286.00 |
$286.00 |
$286.00 |
$350.98
|
|
Pr discharge day management hospital ip/obs <=30 min on ecounter date
|
$133.25 |
$133.25 |
$133.25 |
$148.00
|
|
Pr discharge day management hospital ip/obs > 30 min on encounter date
|
$191.75 |
$191.75 |
$191.75 |
$209.60
|
|
Prealbumin
|
$100.10 |
$100.10 |
$100.10 |
$80.40
|
|
Pr ecg 12 lead report only
|
$40.30 |
$40.30 |
$40.30 |
$22.10
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$4.87 |
$4.87 |
$4.87 |
$4.87
|
|
Prednisone 1 mg tablet
|
$4.87 |
$4.87 |
$4.87 |
$4.87
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$566.80 |
$566.80 |
$566.80 |
$573.21
|
|
Pregnancy Ultrasound (first trimester)
|
$486.85 |
$486.85 |
$486.85 |
$539.37
|
|
Pressure max expiratory/inspiratory
|
$182.65 |
$182.65 |
$182.65 |
$260.25
|
|
Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref
|
$113.75 |
$113.75 |
$113.75 |
$140.01
|
|
Pretreat rbc absorption reference
|
$160.55 |
$160.55 |
$160.55 |
$139.00
|
|
Pretreat rbc density gradient separation reference
|
$150.80 |
$150.80 |
$150.80 |
$178.20
|
|
Pretreat rbc w chem/drugs reference
|
$153.40 |
$153.40 |
$153.40 |
$106.00
|
|
Pretreat rbc w enzyme reference
|
$113.75 |
$113.75 |
$113.75 |
$170.31
|
|
Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm
|
$182.65 |
$182.65 |
$182.65 |
$1,794.93
|